東洋医学雑誌

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1 Vol.65 No , 2014 a b c d e f g h Ikuro WAKAYAMA a Shuichi KATAI b Satoru YAMAGUCHI c Shoji SHINOHARA de Hitoshi YAMASHITA f Hideto KOMATSU gh Faculty of Health Sciences, Kansai University of Health Sciences, Wakaba, Kumatori, Osaka , Japan Course of Acupuncture and Moxibustion, Faculty of Health Science, National University Corporation Tsukuba University of Technology, Kasuga, Tsukuba-city, Ibaraki , Japan The Center for Oriental and Integrated Medicine, Saitama Medical University, 38 Morohongo, Moroyama-machi, Iruma-gun, Saitama , Japan Department of Acupuncture and Moxibustion/Exercise and Sport Science, Kyushu University of Nursing and Social Welfare, 888 Tominoo, Tamana-shi, Kumamoto , Japan Department of Basic Acupuncture and Moxibustion, Meiji University of Integrative Medicine, Hiyoshi-cho, Nantan-shi, Kyoto , Japan Department of Acupuncture, Morinomiya University of Medical Sciences, Nankokita, Suminoe-ku, Osaka-shi, Osaka , Japan Japan Acupuncture & Moxibustion Association, Minamiotsuka, Toshima-ku, Tokyo , Japan Jyujido Acupuncture Clinic, Higashi, Shibuya-ku, Tokyo , Japan Acupuncture and moxibustion are not fully or well-utilized in the medical system, particularly in the hospitals of Japan. If they were more commonly practiced in hospitals, disorders and disease conditions that are not improved by modern Western medicine might be better treated. In addition, collaboration between acupuncturist and Western medical doctors would promote the research of acupuncture, moxibustion, and related techniques. However, to achieve these aims, improvements in the quality of acupuncture and moxibustion education would be needed. Also, hospitals that are presently using acupuncture and moxibustion for routine treatment would have to demonstrate their usefulness and how this is contributing to patients health. Having acupuncture and moxibustion therapists (AMT), as a defined occupation in hospitals, was proposed in 1981, although this has not yet been realized. However, we believe that hospital AMTs would be necessary for the progress of acupuncture and moxibustion, as well as for national health care and the medical system in Japan. acupuncture and moxibustion, hospital, medical system, national health care, AMT (acupuncture and moxibustion therapist)

2 Vol.65 No.4, 2014 WHO

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5 Vol.65 No.4, 2014 Arterial Spin-LabelingASLMRI QOL COPD ADL COPD

6 Vol.65 No.4, 2014 COPD

7 Vol.65 No.4, 2014 http : // jp/nintei/senmon/curriculum.pdf

8 Vol.65 No.4, 2014 The National Institute for Health and Clinical ExcellenceNICE General PractitionerGP EBMRCT Randomized Controlled Trial : RCT PubMed RCT RCT RCT RCT RCT prospective survey prospective survey EBM RCT

9 retrospective Vol.65 No.4, 2014

10 Vol.65 No.4, 2014 Acupuncture and Moxibustion TherapistAMT AMT

11 Vol.65 No.4, 2014 OSAKA AMT AMT!

12 Vol.65 No.4, 2014 AMT AMT WHO AMT AMT AMT AMT AMT

13 Vol.65 No.4, 2014 EBM RCT AMT Physical Therapist : PT Occupational Therapist : OT COI visual display terminal htttp : // frhikaru/rinri/kongoshinryo.html Gold-QPD http : //gold-qpd.kenkyuukai.jp/special/index.asp?id Suzuki M, Muro S, Ando Y, et al. Randomized, Placebo- Controlled Trial of Acupuncture in Patients with Chronic Obstructive Pulmonary DiseaseCOPD. Arch Intern Med http : // senmon/curriculum.pdf NICE Clinical Guidelines. http : // http : //www. nice.org.uk/nicemedia/live///.pdf Tsukayama H, Yamashita H. Systematic review of clinical trials on acupuncture in the Japanese literature. Clin Acupunct Orient Med JACLiDhttp : //acupuncture. jp/ AMT OSAKA WHO Congress on Traditional Medicine

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